Midnight clerks and daily drudges

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Title Midnight clerks and daily drudges: hospital psychiatry in New York State, 1890-1905
Author(s) Ian R. Dowbiggin
Journal Journal of the History of Medicine and Allied Sciences
Date 1992
Volume 47
Issue 2
Start page 130
End page 152
Abstract Describes the centralization, bureaucratization, and politicization of New York State's care for the insane that began with the State Care Act in 1890 and ended with the Brackett-Rogers bill in 1902. The State Care Act legislated hospitalization in state-funded asylums for all mentally ill persons in county asylums, jails, or workhouses. The three-person Commission in Lunacy, created in 1889, had almost unlimited powers, and many battles were fought between the commission and the state hospitals. The Brackett-Rogers bill attempted to curb spending by abolishing the asylums' boards of managers, giving even more power to the commission, but the boards were reinstated in 1905.

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